School Tour Request Form

School Group Tour Request Requested Date of Tour:

Choice One ___________________

Tour Time:

10:00 a.m.



Tour Type:

Docent-guided

Docent-guided Tour Theme:



12:30 p.m.



Choice Two ____________________

3:00 p.m.

Self-guided Green Features

Learning to Look

Art+History

! School Name: __________________________________________________________________________________ School Address: ________________________________________________________________________________ City: ___________________________________ State: _____________________ Zip: ________________________ Office Phone: ____________________________________

! Contact Name: _________________________________________________________________________________ Phone: ______________________ Email Address:____________________________________________________

! Indicate Grade Level: ____________________________

! Will there be any individuals who do not speak fluent English?

Yes



No

If so, please list languages spoken: ________________________________________________________________

! Please detail any physical, mental, or emotional disabilities for which we should prepare: ______________________________________________________________________________________________

! ________ Students







$4.00 (6-17 years of age, maximum 60)

________ Adult Chaperones





Free (ratio of 1 per every 10 students)

________ Classroom Teachers





Free (1 teacher per class)





$50.00

! [

] Workshop Fee



! [

] Please indicate if Crane Studio will be used for lunch purposes

! ________ Total Visitors



! Fax completed form to 616.831.1001

_________ Total Cost